Transhepatic venous access for hemodialysis: A single-centre expirience
Introduction. A percutaneous transhepatic approach has been used to place tunneled catheters in the inferior vena cava for hemodialysis. This route through the suprahepatic vein could be used to place a tunnelled catheter for permanent haemodialysis without complications and with an excelle...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2022-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100002S.pdf |
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| author | Šarac Momir Sjeničić Goran Sekulić Dragan Micković Saša Šarac Sanja Rondović Goran Bezmarević Mihailo |
| author_facet | Šarac Momir Sjeničić Goran Sekulić Dragan Micković Saša Šarac Sanja Rondović Goran Bezmarević Mihailo |
| author_sort | Šarac Momir |
| collection | DOAJ |
| description | Introduction. A percutaneous transhepatic approach has been used to place
tunneled catheters in the inferior vena cava for hemodialysis. This route
through the suprahepatic vein could be used to place a tunnelled catheter for
permanent haemodialysis without complications and with an excellent
permeability rate. Single centre expirience. From 2011 to 2020 in a Military
Medical Academy we treated 4 patients with transhepatic central venous
catheter for hemodialysis. All of them had exhausted approaches during period
of hemodialysis. Arterio-venous fistulas had been thrombosed on the arms,
thrombosis subclavian vein billateraly or superior cava veinand complications
by femoral catheters was present. Peritoneal dialysis was not possible.
Discusion. Limited number of papers descripted outcome of placement
transhepatic catheters for hemodialysis. In our expirience one patient needed
scroll catheter due hemodialysis had not well outcome, and one patient needed
thrombolysis catheter.Two of them are on hemodialysis without complications
for 300 and 1650 days. Conclusion. The transhepatic venous access under
ultrasound and radioscopic guidance is a simple and safe method. It is an
acceptable alternative for permanent haemodialysis catheters when other
venous accesses are exhausted, and when it is performed by a well-trained
team. |
| first_indexed | 2024-04-13T10:34:52Z |
| format | Article |
| id | doaj.art-8950afacc49444e9b982c2e623dcedb3 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-04-13T10:34:52Z |
| publishDate | 2022-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-8950afacc49444e9b982c2e623dcedb32022-12-22T02:50:04ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202022-01-0179552152510.2298/VSP200922002S0042-84502100002STranshepatic venous access for hemodialysis: A single-centre expirienceŠarac Momir0https://orcid.org/0000-0002-1808-3479Sjeničić Goran1Sekulić Dragan2https://orcid.org/0000-0002-3128-4953Micković Saša3Šarac Sanja4Rondović Goran5Bezmarević Mihailo6https://orcid.org/0000-0003-1938-8298Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Institute of Radiology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaMilitary Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for Pulmonology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Anesthesiology and Intensive Care, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia + Military Medical Academy, Clinic for General Surgery, Belgrade, SerbiaIntroduction. A percutaneous transhepatic approach has been used to place tunneled catheters in the inferior vena cava for hemodialysis. This route through the suprahepatic vein could be used to place a tunnelled catheter for permanent haemodialysis without complications and with an excellent permeability rate. Single centre expirience. From 2011 to 2020 in a Military Medical Academy we treated 4 patients with transhepatic central venous catheter for hemodialysis. All of them had exhausted approaches during period of hemodialysis. Arterio-venous fistulas had been thrombosed on the arms, thrombosis subclavian vein billateraly or superior cava veinand complications by femoral catheters was present. Peritoneal dialysis was not possible. Discusion. Limited number of papers descripted outcome of placement transhepatic catheters for hemodialysis. In our expirience one patient needed scroll catheter due hemodialysis had not well outcome, and one patient needed thrombolysis catheter.Two of them are on hemodialysis without complications for 300 and 1650 days. Conclusion. The transhepatic venous access under ultrasound and radioscopic guidance is a simple and safe method. It is an acceptable alternative for permanent haemodialysis catheters when other venous accesses are exhausted, and when it is performed by a well-trained team.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100002S.pdfcatheters, indwellingcatheterization, central venousdialysis, renalliver circulationradiology, interventional |
| spellingShingle | Šarac Momir Sjeničić Goran Sekulić Dragan Micković Saša Šarac Sanja Rondović Goran Bezmarević Mihailo Transhepatic venous access for hemodialysis: A single-centre expirience Vojnosanitetski Pregled catheters, indwelling catheterization, central venous dialysis, renal liver circulation radiology, interventional |
| title | Transhepatic venous access for hemodialysis: A single-centre expirience |
| title_full | Transhepatic venous access for hemodialysis: A single-centre expirience |
| title_fullStr | Transhepatic venous access for hemodialysis: A single-centre expirience |
| title_full_unstemmed | Transhepatic venous access for hemodialysis: A single-centre expirience |
| title_short | Transhepatic venous access for hemodialysis: A single-centre expirience |
| title_sort | transhepatic venous access for hemodialysis a single centre expirience |
| topic | catheters, indwelling catheterization, central venous dialysis, renal liver circulation radiology, interventional |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100002S.pdf |
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